Organization Active NPI

Women and Adolescents Gynecology Center, LLC

  • Obstetrics & Gynecology Physician
  • Edina, MN
National Provider Identifier
1689727042
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32031 Issued in MN
Legal business name
WOMEN AND ADOLESCENTS GYNECOLOGY CENTER, LLC
Practice address
7300 France Ave S
Suite 201
Edina, MN 55435-4525
Phone
(952) 224-7072
Fax
(952) 224-7073
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eudora B Grazette, MD
Title
Owner
Phone
(952) 224-7072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 32031 MN Primary

Addresses

Primary practice location

7300 France Ave S
Suite 201
Edina, MN 55435-4525

Mailing address

7300 France Ave S
Suite 201
Edina, MN 55435-4525
Phone (952) 224-7072

National Provider Directory

National Provider Directory

Locations

7300 France Ave S
#328
Edina, MN 55435
Phone (612) 730-2237

7300 France Ave S
Ste 201
Edina, MN 55435
Phone (952) 224-7072

7300 France Ave S
Ste 221
Edina, MN 55435
Phone (952) 224-7072

7300 France Ave S
Minneapolis, MN 55435
Phone (612) 518-2225

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1689727042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S",
            "address_2": "SUITE 201",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354525",
            "telephone_number": "952-224-7072",
            "fax_number": "952-224-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 FRANCE AVE S",
            "address_2": "SUITE 201",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354525",
            "telephone_number": "952-224-7072",
            "fax_number": "952-224-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN AND ADOLESCENTS GYNECOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "GRAZETTE",
        "authorized_official_first_name": "EUDORA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-224-7072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "32031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.